HomeMy WebLinkAbout529 E 1st St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date I ( ,.... 1- 0 <.f
Time
714~
Received by .DeI'l.Yll S E ~ (phone, person)
Location of Work to be inspected 5" 21 E - I ~
Name of person requesting inspection O-e Vl. V\. l ~ E
Address of person requesting inspection 6 ;/'~ YCird 17<f- g Phone No t../(i-'(-<?49
I
Type of Inspection (circle appropriate one) Permit N~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Oth~ ~
INSPECTION NOTES
Inspected Date I ( -
Remarks 54W c.u+
~rvl~e. lee:... k.
(" ... O,-/-. Time If A ~ By OChl-1 ,5 L
Sid e w~1 Ie b~lJk.d tvLe1~r ho>c Ci.l-1.d re .tJa..1 r
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RESTORATION REQUIRED
YES X NO
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6 8 Ii A_L 1< ~ *'
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
\2..<2L-~\j ..)-6) I \ - ~ "fl 2' X Z /
D Asphalt D PCC ~6ther Lc>nc.refe
Work Order # NZ7A-07Z '~l(lbllt I
~ COMPLETE t~ t~~,~
D INCOMPLETE '7. -lO -OS-
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IContlnue on 'eve..e side If c:'~~'YI I -
STREET SUPERINTENDENT
(DATE)